Individual
BETTHNEY O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP, BCBA
Contact information
Practice address
716 WOOD BROTHERS DR, STUART, VA 24171-1406
(276) 694-4488
(276) 694-4481
Mailing address
PO BOX 232, PATRICK SPRINGS, VA 24133-0232
(540) 230-1582
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000563
VA
225X00000X
Occupational Therapist
0119007816
VA
235Z00000X
Speech-Language Pathologist
2202007243
VA
Other
Enumeration date
02/03/2016
Last updated
02/22/2021
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